Journal article
Using the California Verbal Learning Test, Second Edition as an embedded performance validity measure among individuals with TBI and individuals with psychiatric disorders
Clinical neuropsychologist, Vol.32(6), pp.1039-1053
08/18/2018
DOI: 10.1080/13854046.2017.1419507
PMID: 29283307
Abstract
Objective: Among embedded performance validity tests (PVTs), little research addresses the use of Total Hits and Total False Positives from the California Verbal Learning Test, Second Edition (CVLT-II) in spite of low sensitivity, particularly in psychiatric samples. Method: This study examined the classification accuracy of these two measures in individuals with psychiatric disorders or mild traumatic brain injury (MTBI). These samples were separated into two groups using the criteria of passing all PVTs versus failing 2 or more PVTs. They were also compared to a criterion group of moderate to severe traumatic brain injury (M-STBI) patients who passed all PVTs. The sample included 176 individuals consecutively referred for neuropsychological testing (mean age = 46.31, SD = 15.30; mean education = 13.07, SD = 2.50, 52.3% males; 91.2% Caucasian) who met study criteria. Results: For classification accuracy, Total Hits in the psychiatric group had excellent classification accuracy (Area Under the Curve [AUC] = .82; Sensitivity = .47; Specificity = .90), whereas Total False Positives (AUC = .49) demonstrated poor classification accuracy. The MTBI group had similar results, with Total Hits having excellent classification accuracy (AUC = .88; Sensitivity = .60; Specificity = .90), whereas Total False Positive (AUC = .62) did not. Conclusions: Results provide preliminary support for using Total Hits; however, Total False Positives were ineffective in identifying non-credible patients with psychiatric disorders or MTBI. Total Hits also compared favorably to other embedded CVLT measures.
Details
- Title: Subtitle
- Using the California Verbal Learning Test, Second Edition as an embedded performance validity measure among individuals with TBI and individuals with psychiatric disorders
- Creators
- Virginia C Persinger - Department of Clinical Psychology, Adler UniversityDouglas M Whiteside - Department of Psychiatry, University of IowaLyuba Bobova - Department of Clinical Psychology, Adler UniversitySeema D Saigal - Department of Clinical Psychology, Adler UniversityMarla J Vannucci - Department of Clinical Psychology, Adler UniversityMichael R Basso - Department of Psychology, University of Tulsa
- Resource Type
- Journal article
- Publication Details
- Clinical neuropsychologist, Vol.32(6), pp.1039-1053
- DOI
- 10.1080/13854046.2017.1419507
- PMID
- 29283307
- NLM abbreviation
- Clin Neuropsychol
- ISSN
- 1385-4046
- eISSN
- 1744-4144
- Publisher
- Routledge
- Language
- English
- Date published
- 08/18/2018
- Academic Unit
- Psychiatry
- Record Identifier
- 9984083872402771
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